Workplace Bullying-Nursing or 7th Grade?

Nurses Relations

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I just posted a blog and wanted to share it here because of the reactions I've gotten...this has become a topic of great interest for me in nursing and it is being tied to patient safety. If you have an institution where this has been successfully stopped, please comment.

My 12-year-old daughter has recently been having problems with other kids at school. It's the usual, I-can't-figure-out-who-I-am-so-I'm-going-to-torment-you, 7th grade problems.

Unfortunately, many similarities exist between 7th grade bullying and workplace bullying. You'd expect that maturity would kick in, but I have found that sadly, even though the setting has changed, the behavior has not.

A few months ago, I discovered the book called The No ******* Rule-Building a Civilized Workplace and Surviving One That Isn't by Bob Sutton I do not receive any benefit for plugging this book, but I have to highly recommend it-regardless of your profession.

I am typically an outgoing person, but as an OR nurse working with a small staff, I found myself being torn down to the point where my self-worth was squashed, and my motivation became non-existent. My bullies were referred to as the Triangle of Terror- three women who did what they could to tear down, intimidate, and spread rumors about others. I have to mention that each member of this Triangle had worked there for an extensive amount of time and were very skilled at what they did. Their talent and seniority ensured their value to the department and many surgeons preferred to have them in their case.

It started at the beginning of my employment. Nit-picking my skills, telling my manager that I should have never been hired. If I presented an idea, it was quickly shot down or mocked by one of them. If I worked well with a surgeon, they would loudly point out my imperfections-sometimes right in the middle of the case. After time, I began to believe them. I should have never been hired. If I did well, it must have been a fluke-surely a failure was right around the corner. My paranoia grew as I was certain they were sharing every faulting detail with anyone who would listen.

I had allies, and I was not the only target. Frankly, these friends are what kept me coming back each day. However, because of the environment of fear, even though they witnessed the bullying, and knew it was going on, no one wanted to stand up. Speaking out only reserved your spot as the next victim. It was best to just come, do your job and go home.

The ripple effect from their behavior was crushing. I took my stories home and dumped them on my husband. He could do nothing but helplessly watch and try his best to keep my spirit alive. My attitude and mood were sour every day when I came home and I'm certain my children felt it. My health took a hit and my sick days were used to the max.

After 19 months of being slowly broken, the best thing I did was to quit-even though I was stepping away from my benefits and a job that I loved (I didlove the job itself). Nearly two years after leaving, I think I am finally healing. Writing about it, hearing the experience of others and knowing what they went through has also helped.

Workplace bullying is rampant. From my experience, the same stress, insecurity and competition that drove the 7th grade torment has the ability to manifest it's ugly head in adults-and for some WRONG reason, especially in nursing. In writing this, I am hoping to bring comfort to those who are bullied and awareness to those who might be bullying others. If you've ever wondered if you might be the problem, I encourage you to test yourself and find out! Share your story, speak out and support others....you never know who may be experiencing the same pain, or who you might be able to help!

I could have written this myself 2 years ago. There were two nurses in the CVICU that made it their daily goals to intimidate and bully any nurse they felt they could. I found myself depressed, and stressed out to the max which led me to be careless in the ICU. It was not healthy for me or my patients. I had to leave and give up my first job as a new grad RN. 2 years later, and I'm a new person. I feel free, happy and enjoy my job working in postpartum with great co-workers. I couldn't be more happier today. Great post.

Specializes in Family Medicine, Tele/Cardiac, Camp.

That's terrible. I'm so sorry that had to happen to you. I'm pretty ballsy now and have no problem asking someone point-blank and with simply a curious tone, "Why are you making fun of me?" or "why do you talk about so-and-so behind her back?" Few people will outright give you a reason. I've also found that just asking people if they're okay can sometimes get you an apology. People's inherent jerkiness can be upped when they're having a tough time for whatever reason. But I know it's often extremely difficult to assert yourself and, truth be told, I did quit a job once due to lateral violence as well. I didn't feel my patients would be safe if the other nurses on the floor refused to look at me let alone help me.

It sounds sexist, but I never see this kind of behavior when I hang out with men. And in a profession that's still dominated by women, it can be hard to escape sometimes. Best of luck to you in your future endeavors. You'll find a better place, I'm sure. :)

Specializes in Critical Care.

Bullies usually try to target the new person on the block, maybe because they don't know them personally so don't give a damn that they are hurting them or maybe because they sense their fear and insecurity as the new person. I don't like cliques, usually there is one person who is the center of attention and then has her lackeys that fawn on her, support her and follow her around. The ring leader wants to have power over everyone, sometimes can come across as nice, even overly friendly in order to get to know you and find out your weaknesses! Others don't hide their hostility and attack right away. I think they get away with it because their behavior is tolerated by management and others either don't want to be their next target or are in stupid awe of them!

I've dealt with both types of bullies and dislike both, although the overbearing, fake friendly type annoy me more. I've never quit a job over a bully, I wouldn't give them that satisfaction. I have transferred to another floor to avoid dealing with a fake overbearing person and her entourage! She eventually moved on. I have to say I was amazed how many people were so gullible and confided in her even management personal problems etc. She was a very good actress, but I wouldn't want her near me and esp not in my personal life! It was amazing the way she could play people, esp management, befriending them, getting personal favors. I'm not that way. I'm not chummy or want to be and like to separate work from my personal life and never was one to try to get close to management. In this world where who you know matters more than what you know, she would be a "winner", master networker, and was able to use her friendship with management to get favors and job transfers.

Specializes in Trauma, Education.

I could bring out parts of each of your comments and agree! I made an attempt to confront at one point and one of the three went walking around the OR yelling about how I exaggerate, I'm too sensitive and can't take anything. Then they got the other two involved. It made everything even worse. I requested an assignment change at one point and paid for weeks.

So what happens when your manager is part of the problem, or in close ca-hoots with the offenders? I have moved into a new and more rewarding position so I have no regrets about leaving. I still get to work with my favorite surgeons but without the drama. And I will agree it tends to be a female thing….my best days were working in an OR with a male surgeon, male resident, male CRNA and male scrub tech. No bull….just get in and get it done!

I have been a 11 years RN, then a 15 years as an APRN (26 years in nursing)and witnessed bullying behavior (in the OR: lateral) (and no,shamefully I did not intervene :no:).

At a new position I became the target of the bullying behavior by a NP (whose supervising MD was known for his bullying behavior), after I would not condone her behavior towards another NP "does not know what he is doing, Dr. X does not know why he was hired, etc." As per typical bullying behavior her attention was turned toward me.

I reviewed the literature and did all of the "recommended" actions: spoke to her privately (behavior worsened), spoke to supervisor ("sensitive, she's like that with all new staff, she will settle down"), spoke to the Director (same verbiage as supervisor). I then was excluded from unit luncheons, presentations, etc.

The bullying was so intense, as rbs105 writes "my health took a hit" (insomnia->fatigue->anorexia->weight loss (which intensified her bullying "eating disorder").

I became paranoid that my skills were actually being questioned, that I would "check and double check" everything that I did in re: patient care.

Ultimately, I left the position and patients that I LOVED, because it was clear the bullying behavior was accepted facility practice (GOV AGENCY), although during every new nursing employee orientation it is communicated "it is not tolerated" and presentation of Joint Commission's Sentinel Alert "Behaviors that undermine a culture of Safety" http://www.jointcommission.org/assets/1/18/SEA_40.pdf

We continue to address/discuss this behavior as nurses, ancillary staff and administrators: http://www.mc.vanderbilt.edu/root/pdfs/nursing/center_lateral_violence_and_bullying_position_statement_from_center_for_american_nurses.pdf

However, until the bullying behavior is NOT TOLERATED administratively, and the BULLY is "outed" and leaves the work environment it will continue.

No matter what studies or literature are written/presented, it will continue.

The lesson I learned from this experience was to make certain that my behavior toward my peers is nothing short of kindness, to offer assistance where assistance is needed (quietly), praise admired skills publically, involvement in facility groups (so I may preach the anti bully gospel {referencing JC's Sentinel Alert and BEST PRACTICES ) AND **FINALLY**:sarcastic: if "If you can't say something nice, don't say nothin' at all. " THUMPER :)

"It's much easier to be cruel than one might think." Jonathan Safran Foer

Thank you for sharing your story. I feel that bullying is overwhelmingly prevalent in the nursing profession. It should not be tolerated. Fortunately, there is a bill in process- and will hopefully be passed soon. Workers will be able to claim bullying as a legitimate worker's compensation injury. When it begins to cost employers money, maybe it will begin to be addressed.

I have been a nurse for over 25 years and it wasn't until I started working in clinics that I noticed bullying, mostly of the covert type. I had one manager who even commented that a long term employee, ran other nurses out. This goes back to a work place culture that not only tolerates bullying but reinforces it. There are no 'innocent bystanders' and the best way to deal with these toxic workplaces is to leave.

Specializes in Critical Care.

With some of these cliques they will play a game where several of them approach the manager on different days with complaints about the person they dislike to pretend several indept nurses all noticed the same deficiencies or whatever the criticism is. Whether management is aware of this game depends on how involved with staff and if these are pets to begin with. I think it is pretty sad and pathetic to have to play games like that with someone's livelihood!

I've seen people tell the supervisor how busy they are and as soon as the supervisor leaves, they would laugh and take a magazine out!

I also have witnessed the clique effect as described by brandy1017, sometimes with the goal of getting a job for a friend. With a bad economy and limited nursing jobs, there seems to be an increase in drama and back biting, all of which have nothing to do with the work at hand.

Most bullies know they are. Especially when there is a group of them. Calling them out on things is worth a try, but unlikely to change things. When bullies feel safe in the role of the bully they're behavior will not change. Now if they faced disciplinary action that may change their attitude. I will say often they will sense weakness or lack of confidence. Most strong willed or confident people are not their targets as they will meet some resistance, especially if they have someone they perceive as an easy prey.

This is so true. Bullies pick on those they perceive as weak. If you allow it once, it will only escalate from there. If they sense confidence, they may pick a few times and fail, then they just stay away and find another target.

Not to mock on belittle anyone, but my self esteem is mine alone, no one determines it for me. I know who and what I am and what I had to do to get where I am.

I will not allow anyone to bully me, and will not stand it from others. Even as a new nurse you should stand up for yourself, even if your labeled as a "tattletale" or whiner.

This is so true. Bullies pick on those they perceive as weak. If you allow it once, it will only escalate from there. If they sense confidence, they may pick a few times and fail, then they just stay away and find another target.

Not to mock on belittle anyone, but my self esteem is mine alone, no one determines it for me. I know who and what I am and what I had to do to get where I am.

I will not allow anyone to bully me, and will not stand it from others. Even as a new nurse you should stand up for yourself, even if your labeled as a "tattletale" or whiner.

I agree - where some folks might go wrong is in the tone they take when standing up for themselves. It can come off as whiny. ;)

Just be calm, firm, and to-the-point.

Specializes in Float Pool-Med-Surg, Telemetry, IMCU.

I started on a new unit four months ago and the bullying has been pretty bad. To be honest, I'm counting down the days till I can transfer; my mental health is suffering and I spend my days off dreading going back. A lot of the bullying is kind of underhanded and subtle so when you address it you end up looking like an over-sensitive baby. And my manager is a tough-as-nails kind of person who tells everyone she doesn't want to hear about drama so be an adult and deal with it yourself.

One unit secretary is difficult for me to work with; she alternates between funny sarcastic and nasty sarcastic and I never know which I'm gonna get. In her defense she was pretty nice to me once when I burst into tears after being pushed to my limit by another nurse. (Yes, I know crying is about the worst thing you can do but it was after a hellish shift) I think I scared her a little.

After months of nasty little passive aggressive comments and eye rolls from a particular charge nurse on the next shift I decided to stand up for myself after she yelled at me in front of the unit for giving part of my report to a float nurse outside the patient's room (we do bedside but this patient was in isolation and we usually give the oncoming nurse part of it outside in that case so they don't have to take their clipboard into an isolation room; then we go in and meet them together.) I calmly asked her to use a different tone of voice when asking me to do something, that I felt it was disrespectful to yell at me in front of others. She, predictably, did not like that and was really nasty about it and for weeks afterwards I could pretty much guarantee an awful assignment when she was working. I make a point of saying goodnight to her and she just rolls her eyes and ignores me now. Oh well.

I'm so over it all. Thankfully they are some nice people I work with and I'm starting to make friends but I'm not planning on staying any longer than I have to; two years tops. I got picked on all through junior high and high school and I refuse to take it as an adult working a "professional" career. If I had known what nursing was like I would probably have chosen a different career but I'm too old now.

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